Basic Information
| Provider Information | |||||||||
| NPI: | 1598078750 | ||||||||
| EntityType: | 1 | ||||||||
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| LastName: | MUNIRA | ||||||||
| FirstName: | MOST SIRAJUM | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 234 E 149TH ST, BRONX, NY 10451 | ||||||||
| Address2: | LINCOLN HOSPITAL, CARDIOLOGY | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10451 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185794876 | ||||||||
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| Practice Location | |||||||||
| Address1: | 234 E 149TH ST, | ||||||||
| Address2: | LINCOLN HOSPITAL, CCARDIOLOGY | ||||||||
| City: | BRONX | ||||||||
| State: | NY | ||||||||
| PostalCode: | 10451 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7185794876 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/16/2010 | ||||||||
| LastUpdateDate: | 10/02/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 285831 | NY | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.